The following examples demonstrate the Hahnemannian methods of posology and highlight the methods of adjusting the dose.
1. A very hypersensitive lady who was taking one 6c pill dry was experiencing strong aggravations every time she took the dose after which she would improve a little and then relapse. She thought she was too sensitive for homeopathy and may have given up. On making a medicinal solution, and taking one teaspoon, the remedy no longer aggravated, and she was able to repeat the remedy at suitable intervals until she was cured. This is an example of how changing from the dry dose to the liquid dose, and succussing before each teaspoon, transmuted an aggravation and made the remedy repeatable in a sensitive person who had trouble taking even one dose dry. This is an example of changing from a dry dose to a liquid dose which shows there is a difference in the way you give the dose and its amount.
2. A patient who took Carbo Veg. 200c in a dry dose did not react. The remedy seemed to fit her case. She then was told to try it again but in a medicinal solution. The dose was one teaspoon. A few doses of the 200c succussed five times before each dose to slightly change the potency cured rapidly. This is another example of a solution curing where a dry dose failed. If dosage makes no difference wet or dry, as Kent said, why did this work?
3. A woman who took one dose of Cimicifuga LM1 in a 4oz. solution for migraine headaches experienced an aggravation. After increasing the amount of water in the solution by making an 8oz solution there was no aggravation and she was able to repeat the remedy every three days for a month and her migraines never came back. She never experienced an aggravation again. This is an example of adjusting the dose by using more water in the original solution. This made the remedy act more gently on her constitution and allowed it to be repeated without aggravation.
4. A person suffering from sleep apnea was given Arsenicum Album LM1 in a 6oz solution, succussed three times before ingestion; one teaspoon was taken and stirred into 6oz of water, then one teaspoon was given as a dose. After taking the remedy there was an aggravation of some of the concomitant symptoms for three days, then a slight improvement for a short while, and a relapse. The remedy was given again, but one teaspoon was taken out of the first dilution glass, and placed in a second glass from which the client was given one teaspoon. The succussions were the same. This caused a radical improvement and removed the sleep apnea. There was no aggravation on the dose made in this manner. This is an example of diluting the remedy through two glasses of water and getting a striking response when the remedy out of the first glass caused an aggravation and then only a made a small improvement. Doesn’t this demonstrate the difference the size of the dose may make? According to modern Homeopathy, this would not make any change in the effect of the remedy.
5. A patient was given a remedy in a medicinal solution which was succussed five times before ingestion. He responded well to the first dose, but when he was told to take a second dose, he forgot to succuss the bottle and the remedy did not act. After the situation was discussed he was reminded to succuss the remedy before taking it again and it worked just as well as the first time. This is an example of taking the same unsuccussed, unmodified remedy twice in succession and having no affect at all. When the remedy was “potentized anew,” as Hahnemann suggested in paragraph 248, it acted very deeply. This demonstrates the importance of succussion and changing the potency of each dose. This is a related subject but does not really deal with changing the amounts of the dose.
Hahnemann mentions in the Organon that there are special conditions when the size of a dose must be increased to overcome a disease. The first example he gives is when there are primary eruptions of the chronic miasms on the skin. Here are some examples of this method:
6. In a case of scabies (one of psora’s primary eruptions) the normal one teaspoon dose did not act deep enough to remove the mites. In aphorism 248 Hahnemann mentions giving “one or increasing more teaspoons” of the remedy when needed. By gradually increasing the amount of the dose from one teaspoon to two then three teaspoons, the parasites were quickly removed. (Have done this many times)
7. A case of ringworm (a primary eruption on the skin related to the TB miasm) was only responding slowly to repeated doses of Bacillinum LM1 given in teaspoon doses. The number of succussions was raised but it did not help. The dose was repeated more often but there was no change. The size of the dose was increased to three teaspoons and the ringworm immediately responded and began to disappear. This larger dose acted where a smaller dose did not. The succussions were kept the same.
Another example Hahnemann gave of cases that often need an increase of the size of the dose is when the general health of a person has improved but a stubborn local complaint remains. I have often seen cases where there is a general improvement but a lesional or pathological complaint lingers on. In cases like this it is best to start with the smallest possible doses to get a reaction and slowly augment them until there is an effect on the local complaint.
8. I gave Calcarea Carb. LM1 to a gentleman who had an incredible number of symptoms including impotency which brought him great despair. He responded mentally and vitally to the first doses but the local complaint lingered until the size of the dose was gradually augmented over a period of time by increasing the number of teaspoons taken as a dose. The impotency vanished and he has remained cured to this very day.
Another time to consider increasing the size of the dose is when a case no longer seems to be moving forward.
9. A person was suffering from a swollen prostate with concomitant melancholia and impotence, an obstruction of the flow of urine, and a pressure-like sensation in the perineum. He was first given one teaspoon of Conium which caused a fair response. He increased to two teaspoons on his own and got an similar aggravation (too large of a dose). He was advised to stop the dose for a few days and to start again with one teaspoon. This worked very well as LM1 and LM2 were used and the worst symptoms disappeared. Then it seemed as if the movement of the remedy forward had reached a plateau so the size of the dose was slowly increased from one teaspoon to two then to three, and the case once again started moving rapidly forward and is much, much better. If the size of the dose makes no difference, how did this all happen?
These are examples of cases where the methods of adjusting the dose made a difference between success and failure. If I did not adjust the size of the dose in these cases the correct remedy might have been called into question. These methods are all connected to the innovations that Samuel Hahnemann introduced in the 5th (1833) and 6th editions of the Organon (c. 1842) and the 1837 edition of the Chronic Diseases. These methods demand more artistry on the part of the homeopath but with more knowledge comes more responsibility.